Opioid Prescribing Guidelines
Assessment and Development
Create motivation for change in providers and patients through guideline definition, adoption and implementation.
Definition, adoption and deployment of an organizational Opioid Prescribing Guideline to address high risk prescribing can be a daunting initiative. Integrating local, state and federal requirements in a practical and productive manner is our focus. Risk reduction of opioid overdose death and other adverse opioid consequences for Chronic Opioid Therapy (COT) patients is a key component of the guideline strategy. Reduction of physician professional and personal liabilities are immediately realized and can reduce the cost of malpractice insurance.
Identifying and Quantifying Exposure
Patient risk identification includes the stratification of patients into opioid risk management and treatment categories, spanning from low to high risk, across a continuum utilizing the OPOS Fullpower population modeling tools. All of the risk classifications should be encompassed/defined in the organizations Chronic Opioid Therapy/Opioid Prescribing Policies.
Organizational patient risk ratings can be used in cases where an organization already employs an opioid risk stratification tool. In those cases, data can be validated against OPOS Fullpower to ensure that the organizations' process/tool is adequately identifying patients that fall under the scope of the medical board, CDC guidelines and organizational guidelines. We have observed that a typical organization's identified/known risk pool is significantly smaller than the real at-risk population. The problems may be larger than they appear.
Identifying and Promoting Best Practices
Measurement of outcomes are critical to improving the physician and patient experience, improving the health of the population and reducing per capita costs. Typically we include outcomes measures from specific domains that span Physician Satisfaction, Patient Satisfaction and Clinical Outcome and Cost. Outcomes measurement programs should be ongoing and the metrics should be defined as part of the organizations opioid prescribing guideline.
Case Management and
Delivering Medical Expertise
According to the Centers for Disease Control and Prevention, primary care physicians prescribe over 50% of the opioids that are dispensed. In the primary care setting patients often present with multiple concurrent problems and providers are constrained by packed clinical schedules. We utilize board certified pain management physicians to review cases and make treatment recommendations to physicians. Treatment recommendation can be implemented utilizing case management through a telemedicine service that brings the pain specialist into the primary care setting to consult with the treating physician and patient, concurrently in a collaborative manner.